go back

Genetic Test For Medication Response

California rates for HCPCS 0033U

A genetic test that looks at inherited differences affecting how a person's body handles or responds to medicines. The findings help the prescriber pick a drug and a dose more likely to work well and less likely to cause side effects.

Rates data updated July 2026.

How much does Genetic Test For Medication Response cost?

$501

Typical negotiated rate. In California, July 2026.

Insurers have agreed to pay about $501 for this service. The price depends on where it is billed: about $263 from a physician practice, and about $832 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 7 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$263$229 to $295
FacilityA hospital or hospital-owned outpatient department$832$603 to $1,479

How much rates vary

Facilitymedian $832 · 10th to 90th $407 to $1,995Professionalmedian $263 · 10th to 90th $191 to $708
$200$500$1K$2Kfacility $832professional $263

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$389.05
Median
$812.83
Typical High
$1,995.26
Aetna
Setting
Professional
Modifier
Global
Typical Low
$190.55
Median
$263.03
Typical High
$295.12
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$426.58
Median
$812.83
Typical High
$1,479.11
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$89.13
Median
$398.11
Typical High
$891.25
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$1,318.26
Median
$1,318.26
Typical High
$1,318.26
Lucent Health
Setting
Professional
Modifier
Global
Typical Low
$1,737.80
Median
$2,630.27
Typical High
$2,630.27
Providence
Setting
Facility
Modifier
Global
Typical Low
$489.78
Median
$489.78
Typical High
$489.78
Providence
Setting
Professional
Modifier
Global
Typical Low
$380.19
Median
$380.19
Typical High
$524.81
Sutter Health Plus
Setting
Professional
Modifier
Global
Typical Low
$346.74
Median
$346.74
Typical High
$346.74
United
Setting
Facility
Modifier
Global
Typical Low
$346.74
Median
$346.74
Typical High
$346.74
United
Setting
Professional
Modifier
Global
Typical Low
$281.84
Median
$338.84
Typical High
$660.69

Where California sits

The same service costs 8.9 times more in South Carolina than in Delaware. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

California· 12th of 51

$501

SC $1,660DE $186

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.